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05). Progressive radiographic changes were seen in 19% of femoral and 16% of tibial constructs. The most common reason for re-revision was periprosthetic joint infection (65%). VVC revision TKA with selective use of cones provided a reasonable outcome as 93% were free of revision for aseptic loosening at 6 years. However, given the rate of patients with progressive radiographic changes and survivorship free of reoperation of 74% at 6 years, long-term follow-up will help assess the durability of these constructs. VVC revision TKA with sele